麻醉师在紧急cricothyroidotomy中的技能要求在3个月后进行刷新培训-一个随机对照试验
Martine S Nielsen1,2,3, Simon H Lundorff1, Peter Martin Hansen4,5
1Department of Anaesthesiology and Intensive Care, Lillebaelt University Hospital, Kolding, Denmark.
Acta anaesthesiologica Scandinavica
|September 20, 2023
概括
基于模拟的培训显著提高了麻醉师的紧急cricothyroidotomy技能. 这些关键的气道管理技能在很大程度上保持了3个月,这表明定期练习的价值.
科学领域:
- 麻醉学 麻醉学
- 医学教育 医学教育
- 进行外科手术技能培训.
背景情况:
- 紧急cricothyroidotomy是一个关键的最后选择程序,根据困难的气道协会2015年指导方针预期不到的困难的气道.
- 在紧急cricothyroidotomy中麻醉师的技能维护培训的频率尚未确立.
- 这项研究调查了刷上干预对麻醉师在紧急cricothyroidotomy的熟练程度和技能保留的影响.
研究的目的:
- 评估基于模拟的刷机培训干预对麻醉师在紧急cricothyroidotomy的技术技能的有效性.
- 评估这些技能在干预后3个月内是否被保留.
- 确定是否需要定期培训,以保持这种罕见但高风险的程序的熟练程度.
主要方法:
- 一个多中心的,随机的,受控的试验,涉及54名麻醉师.
- 参与者被分配到基于模拟的刷机组或对照组 (没有刷机).
- 技术技能被评估使用基于模型的紧急cricothyroidotomy测试,评估时间,定位,触摸,仪器使用,并逐步进展. 在3个月后进行了保留测试.
主要成果:
- 与对照组 (76.8s,15%通过) 相比,干预组的初始表现明显更好,平均时间为51.5s和93%通过两次测试.
- 干预组在3个月的保留测试中保持了整体表现 (平均时间48.9秒,75%通过),显示技能保留.
- 虽然整体表现保持不变,但特定技能组件的表现有所下降,这表明需要持续培训.
结论:
- 基于模拟的刷机训练有效地提高了麻醉师在紧急cricothyroidotomy的技术技能.
- 这些改进的技能在没有持续培训的3个月期间显示出显著的保留率.
- 建议进行定期培训,以保持紧急cricothyroidotomy的熟练程度,强调基于模拟的方法对不常见的关键程序的价值.
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